急性呼吸窘迫综合征体外气体交换时的通气。

IF 3.5 3区医学 Q1 CRITICAL CARE MEDICINE

Current Opinion in Critical Care Pub Date : 2023-12-07 DOI:10.1097/mcc.0000000000001125

Jacopo Fumagalli, Antonio Pesenti

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引用次数: 0

摘要

越来越多的证据表明，体外气体交换的益处在于通过降低呼吸机诱发肺损伤（VILI）的风险来提供肺部愈合环境，至少在大多数重症病例中是如此。尽管体外气体交换的应用标准（根据低氧血症/高碳酸血症的程度）相当一致，但体外膜肺氧合（ECMO）/二氧化碳清除（ECCO2R）期间的通气管理在不同中心却各不相同。在此，我们总结了有关体外气体交换呼吸支持期间机械通气管理的最新证据。

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Ventilation during extracorporeal gas exchange in acute respiratory distress syndrome.

Accumulating evidence ascribes the benefit of extracorporeal gas exchange, at least in most severe cases, to the provision of a lung healing environment through the mitigation of ventilator-induced lung injury (VILI) risk. In spite of pretty homogeneous criteria for extracorporeal gas exchange application (according to the degree of hypoxemia/hypercapnia), ventilatory management during extracorporeal membrane oxygenation (ECMO)/carbon dioxide removal (ECCO2R) varies across centers. Here we summarize the recent evidence regarding the management of mechanical ventilation during extracorporeal gas exchange for respiratory support.

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来源期刊

Current Opinion in Critical Care 医学-危重病医学

CiteScore

5.90

自引率

3.00%

发文量

172

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Critical Care delivers a broad-based perspective on the most recent and most exciting developments in critical care from across the world. Published bimonthly and featuring thirteen key topics – including the respiratory system, neuroscience, trauma and infectious diseases – the journal’s renowned team of guest editors ensure a balanced, expert assessment of the recently published literature in each respective field with insightful editorials and on-the-mark invited reviews.